Ruptured lenticulostriate artery aneurysm: a report of a case treated with endovascular embolisation.

Roccatagliata, Luca; Pileggi, Marco; Cianfoni, Alessandro; Gralla, Jan (2020). Ruptured lenticulostriate artery aneurysm: a report of a case treated with endovascular embolisation. BMJ case reports, 13(10) BMJ Publishing Group 10.1136/bcr-2020-236649

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A 65-year-old woman presented to the emergency department with sudden onset of left-sided weakness, headache and vomiting. A cerebral CT showed an acute intracerebral haemorrhage involving the right caudate nucleus and lentiform nucleus with mild midline shift and intraventricular extension. CT angiography did not reveal aneurysm or other vascular anomaly. Conventional cerebral angiography demonstrated a 3 mm right medial lenticulostriate branch aneurysm, arising from the right anterior cerebral artery (ACA). Endovascular treatment was performed from the left internal carotid via the anterior communicating artery into the right ACA. Complete occlusion was achieved with injection of N-butyl-2-cyanoacrylate. The patient had neurological rehabilitation during hospitalisation followed by outpatient physical therapy. Two years later, clinical follow-up demonstrated excellent recovery.

Item Type:	Journal Article (Further Contribution)
Division/Institute:	04 Faculty of Medicine > Department of Radiology, Neuroradiology and Nuclear Medicine (DRNN) > Institute of Diagnostic and Interventional Neuroradiology
UniBE Contributor:	Gralla, Jan
Subjects:	600 Technology > 610 Medicine & health
ISSN:	1757-790X
Publisher:	BMJ Publishing Group
Language:	English
Submitter:	Martin Zbinden
Date Deposited:	15 Oct 2020 11:21
Last Modified:	05 Dec 2022 15:41
Publisher DOI:	10.1136/bcr-2020-236649
PubMed ID:	33028571
Uncontrolled Keywords:	interventional radiology neuroimaging
URI:	https://boris.unibe.ch/id/eprint/147032